Home Health RN Case Manager - Field Care Navigator

Optum; Puyallup (WA); On-site; USD 92,000 - 137,000; Full time

Benefits offered by this job

Sign-on bonus

Comprehensive benefits

401k contribution

Job summary

Optum Home & Community Care is hiring Registered Nurses (RNCM) to provide in-home care as part of an interdisciplinary team. You will conduct in-home visits, telephonic outreach and collaborative care planning to promote health and prevent hospital readmissions.

The role emphasizes coordinating with PCPs, addressing medical, functional, and social needs, and documenting care in the EMR. A strong nursing background in home-based settings is required.

Qualifications

• Active unrestricted RN licensure in state of residence and state of assignment.
• 2+ years of relevant experience.
• Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs.
• Proven ability to work with diverse care teams in home settings.
• Demonstrated solid computer skills, including use of EMR systems.
• Ability to travel up to 75% of the time for field-based work.
• Valid driver's license and access to reliable transportation.
• Ability to physically navigate home settings, lift 30 pounds.

Responsibilities

• Assess the health status of patients within licensure scope and model of care.
• Establish goals to meet identified health care needs.
• Plan, implement, and evaluate responses to the plan of care.
• Collaborate with the interdisciplinary team to address medical, functional, and social barriers.
• Work with mental health clinicians to bridge mental and physical health care.
• Review daily on-call reports and coordinate care with APC/RN as clinically indicated.
• Consult with PCPs, specialists, and other health care professionals as appropriate.
• Assess patient needs for community resources and make referrals.

Skills

RN licensure

Experience 2+ yrs

EMR familiarity

Travel ready

Driver's license

Tools

Electronic Medical Records

Job description

Optum Home & Community Care is hiring Registered Nurses (RNCM) to provide in-home care as part of an interdisciplinary team. You will conduct in-home visits, telephonic outreach and collaborative care planning to promote health and prevent hospital readmissions.

The role emphasizes coordinating with PCPs, addressing medical, functional, and social needs, and documenting care in the EMR. A strong nursing background in home-based settings is required.